TWI457851B - Online medical consultation system and method with real-time updating means - Google Patents
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本發明提出一種線上即時更新之醫療會診系統與方法，特別是一種透過多方醫療會診單位與病患的線上會診系統，與建構線上會診的方法。The invention provides a medical consultation system and method for online instant update, in particular, an online consultation system for a multi-party medical consultation unit and a patient, and a method for constructing an online consultation.
隨著電腦科技日益進步，電腦技術的觸角已經陸續延伸，並與醫療設備結合應用，例如，超音波醫療儀器利用立體3D電腦影像技術，能描繪出近似人體內部之圖像，或者待產嬰兒的面貌、體形。又如斷層掃描、內視鏡等醫療影像儀器，藉由電腦技術可將其影像畫面數位化後加以儲存及應用，再利用電腦組合其影像畫面便易於快速找到人體內之疾病源，使得醫療手術的成功率大幅提昇。With the advancement of computer technology, the reach of computer technology has been extended and used in conjunction with medical devices. For example, ultrasonic medical instruments use stereoscopic 3D computer imaging technology to depict images similar to the inside of the human body, or the appearance of the baby to be born. Body shape. In addition, medical imaging instruments such as tomography and endoscopes can be digitally stored and stored by computer technology, and then combined with a computer to easily display the disease source in the human body, so that medical surgery can be performed. The success rate has increased significantly.
在診治某些高難度、重大疾病之前，為求審慎，多需召集經驗豐富的醫師、專業學者，於特定時日聚集會診，然而，此種做法，既耗時、耗資源又往往延誤了醫療時程，危及病患安全。Before treating certain difficult and serious diseases, in order to be cautious, it is necessary to gather experienced doctors and professional scholars to gather consultations at specific times. However, this practice is time-consuming, resource-intensive and often delays medical treatment. Time course, endangering the safety of patients.
在習知技藝方面，因為醫療影像大多需由醫療影像儀器不斷產生，故多數會診中難以瀏覽即時醫療影像資訊。以目前電腦技術而言，線上多人會議系統提供與會人員的即時畫面、即時的語音訊息及預先準備好之圖文資料，但此類線上多人會議系統卻未能提供醫師所需病患醫療影像等即時資訊，致醫療會議之功效難以提昇。In terms of conventional skills, since most medical images need to be generated by medical imaging equipment, it is difficult to view real-time medical image information in most consultations. In terms of current computer technology, the online multi-person conference system provides instant pictures, instant voice messages and pre-prepared graphic materials for participants, but such online multi-person conference systems fail to provide medical care for physicians. Instant information such as images makes it difficult to improve the effectiveness of medical conferences.
目前習知的醫療會診方式可參閱圖1所示的數位視頻會診的示意圖，它分別在網路10兩端各連接一或多個醫療 會診單位與一病患103。At present, the conventional medical consultation method can refer to the schematic diagram of the digital video consultation shown in FIG. 1 , which respectively connects one or more medical treatments at both ends of the network 10 . The consultation unit and a patient 103.
醫療會診單位可能有一醫療人員101，配戴有語音裝置12，另配置視訊設備14，同時連結電腦系統16，透過電腦系統16連結網路10。另一端，病患103也同時配戴語音裝置13，並透過連結電腦系統17的視訊設備15，與遠端醫療會診單位進行會診。The medical consultation unit may have a medical staff 101, a voice device 12, a video device 14 and a computer system 16 connected to the network 10 via the computer system 16. At the other end, the patient 103 also wears the voice device 13 and conducts a consultation with the remote medical consultation unit through the video device 15 connected to the computer system 17.
上述的架構中，兩端或多端透過網路10形成的會診系統所揭露的電腦系統16、17相互連結與傳遞訊息，且透過音訊與視訊即時進行溝通。In the above architecture, the computer systems 16, 17 disclosed by the consultation system formed by the two ends or the ends of the network 10 are connected and communicate with each other, and communicate with the video immediately through the audio and video.
習知技術的缺點在於必須透過音訊與視訊進行溝通，但若缺乏視訊設備，整個線上溝通機制便可能失效。The shortcoming of the prior art is that audio and video communication must be communicated, but in the absence of video equipment, the entire online communication mechanism may fail.
利用已知的網路會議系統，本發明發展出一種應用於醫療服務上的醫療會診系統與線上會診建立方法，透過多方醫療會診單位與病患的線上會診，並配合相關醫療影像與診斷資訊，可以達成即時醫療會診的目的。Using the known web conferencing system, the present invention develops a medical consultation system and an online consultation establishment method for medical services, through online consultations of multiple medical consultation units and patients, and with relevant medical imaging and diagnostic information, The purpose of immediate medical consultation can be achieved.
根據實施例，線上即時更新之醫療會診系統是透過網路建構的多方會議系統，實施例是引入醫療相關資源，可藉此達到多方會診的目的，其中，醫療會診系統至少包括有一或多個會診單位，各會診單位至少包括具有數據處理能力的電腦系統與語音處理裝置。特別是本發明的特徵之一是無需裝設視訊設備也能於線上多方、即時、互動式交換圖文數據以進行多方會診。According to an embodiment, the online medical consultation system for online update is a multi-party conference system constructed through the network. The embodiment is to introduce medical related resources, thereby achieving the purpose of multi-party consultation, wherein the medical consultation system includes at least one or more consultations. Units, each consultation unit includes at least a computer system and a voice processing device with data processing capabilities. In particular, one of the features of the present invention is that multi-party consultation can be performed on multiple online, instant, and interactive exchange of graphic data without installing a video device.
本發明包括有一醫療影像系統，各會診單位可透過網路連線醫療影像系統，以擷取與儲存醫療影像，包括醫療 相關圖文數據，PACS便是此類典型的醫療影像系統。它也包括會診報告系統，可透過網路連結於各會診單位，用以產生一診斷報告。The invention includes a medical imaging system, and each consultation unit can connect to the medical imaging system through the network to capture and store medical images, including medical treatment. Related graphic data, PACS is such a typical medical imaging system. It also includes a consultation reporting system that can be linked to each consultation unit via the Internet to generate a diagnostic report.
醫療會診系統亦包括一會診整合系統，此會診整合系統包括以下幾個功能模組：提供驗證使用者從各會診單位登入醫療會診系統的驗證模組；提供檔案與網路安全的資訊安全模組；及可對各醫療影像(包括各種圖文數據)檔案格式進行辨識與轉換、適當調整，使各會診單位輕易存取的文件管理模組；及儲存由各會診單位的診斷報告的資料庫模組。The medical consultation system also includes a consultation integration system. The consultation integration system includes the following functional modules: a verification module for verifying the user's access to the medical consultation system from each consultation unit; and an information security module for providing file and network security. And a file management module that can identify and convert various medical images (including various graphic data) file formats, adjust them appropriately, and make it easy for each consultation unit to access; and store the diagnostic database of diagnostic reports from each consultation unit. group.
架構上，一個會診單位包括醫療小組與設備，而一或多個會診單位可形成一個區域網路，並且包括一個工作站。工作站用於網路資料匯流、轉送、與其他區域網路的會診單位連結，並提供醫療資源之暫存空間與存取服務。Architecturally, a consultation unit includes medical teams and equipment, and one or more consultation units can form a regional network and include a workstation. The workstation is used for network data convergence, transfer, and connection with other regional network consultation units, and provides temporary storage space and access services for medical resources.
此醫療會診系統可引入一資訊載入手段，用以預載醫療影像於一儲存媒體，並產生一檔案待命通知，使得各端裝置可以以同步或非同步方法擷取相關資料。The medical consultation system can introduce an information loading means for preloading the medical image on a storage medium and generating a file standby notification, so that each device can retrieve the related data in a synchronous or asynchronous manner.
建構線上會診的方法包括啟動一會診程序，並設定一會診時間。然後，多個診療主機依據預先設定的連線參數、受邀主機IP等，透過一網路連線醫療會診系統，如有主診療主機與會同診療主機，這些診療主機由一醫療影像系統同步載入醫療影像、病患資料等圖文數據。經過會診後，可以由多個診療主機產生不同的診療訊息。The method of constructing an online consultation includes starting a consultation procedure and setting a consultation time. Then, the plurality of medical treatment hosts are connected to the medical consultation system through a network according to the preset connection parameters, the invited host IP, etc., if there is a main medical treatment host and a concomitant medical treatment host, these medical treatment hosts are synchronously carried by a medical imaging system. Enter graphic data such as medical images and patient data. After the consultation, different medical treatment messages can be generated by multiple medical treatment hosts.
主診療主機將整合各診療主機產生的診療訊息，以形成一個會診報告。The main treatment host will integrate the diagnosis and treatment messages generated by each treatment host to form a consultation report.
醫療會診系統可引入一資訊載入手段，以預載圖文數 據儲存於特定儲存媒體中，並產生一檔案待命通知，再通知各診療主機自行載入該圖文數據。而由診療主機產生的資料物件，便可先暫存於此特定儲存媒體中，再透過檔案待命通知使另一診療主機載入資料物件。The medical consultation system can introduce an information loading method to preload the number of pictures According to the storage in a specific storage medium, and generate a file standby notification, and then notify each medical host to load the graphic data. The data items generated by the medical treatment host can be temporarily stored in the specific storage medium, and then another processing host can load the data objects through the file standby notification.
根據本發明所提出的線上即時更新的醫療會診系統與方法，醫療會診系統是透過網路建構的多方會議系統，實施例特別是引入醫療相關資源，透過整合多方醫療資源以對特定病患執行即時線上會診，至於整合特定病例的資料可以形成衛教資料庫、產生特定病例的注意事項，並能針對病患建立體檢與診斷報告。According to the online medical update system and method for online instant update according to the present invention, the medical consultation system is a multi-party conference system constructed through the network, and the embodiment introduces medical related resources in particular, and integrates multiple medical resources to perform immediate execution on specific patients. Online consultation, as well as the integration of specific case data can form a health education database, the precautions for the production of specific cases, and can establish a physical examination and diagnosis report for patients.
可針對單一病例整合相關研究與會診資料，以形成相關的衛教資訊資料庫，其中，可根據大量醫療相關資料，包括影像與文字。例如，在會診過程中引用相關影像、會診紀錄、個人病歷或醫療文獻、歷史等資訊，可以系統自動篩選或以人工篩選，以建立衛教資料。Relevant research and consultation materials can be integrated for a single case to form a relevant health education information database, which can be based on a large number of medical related materials, including images and texts. For example, in the consultation process, relevant images, consultation records, personal medical records or medical literature, history and other information can be cited, and can be automatically screened or manually screened to establish educational materials.
架構上，醫療會診系統包括一或多個會診單位，每個會診單位可能包括有醫療人員、醫藥專業人員或醫療儀器操作員等，各會診單位之間又可透過網路互相傳遞訊息，包括存取儲存於資料庫的各種醫療相關圖文數據，圖文數據為靜態影像、動態影片、2D或3D影像、虛擬影像(如電腦程式產生的圖案或動畫)、實體影像中之一或其組合；而圖文數據可以畫素或向量圖及以任何形式、元素所呈現之圖像、文字、數字、符號、訊息中之一或其組合的數位資料/數據。Architecturally, the medical consultation system includes one or more consultation units. Each consultation unit may include medical personnel, medical professionals or medical equipment operators. The consultation units can also transmit messages to each other through the network, including Taking various medical related graphic data stored in the database, the graphic data is a static image, a dynamic movie, a 2D or 3D image, a virtual image (such as a pattern or animation generated by a computer program), one or a combination of the entity images; The graphic data may be a pixel or a vector image and digital data/data in any form, image, text, number, symbol, message, or a combination thereof.
系統將藉由一網路手段傳遞所有與會主機之即時畫面之圖文數據，以及所有與會人士即時提供或隨手書寫、繪製之圖文數據。The system will transmit the graphic data of the instant pictures of all participating hosts through a network means, as well as the graphic data that all participants can provide or draw and draw at any time.
第一實施例：First embodiment:
參考圖2，本醫療會診系統可應用於多個會診單位結合形成的網路架構下。Referring to Figure 2, the medical consultation system can be applied to a network architecture formed by a combination of multiple consultation units.
醫師可使用本系統對特定病患的病情進行會診，便可將病患歷史資料、問診資料，及所搜集其他醫療資訊、會診意見等加以整合，並做出完整且準確的診斷。Physicians can use this system to consult patients' specific conditions, and integrate patient history data, consultation materials, and other medical information and consultation opinions collected, and make a complete and accurate diagnosis.
透過網路20連結多個會診單位1、2、3、4，會診單位可為一至多位的醫療人員所組成的醫療小組，設備至少包括有數據處理能力的電腦系統、語音處理裝置與視訊處理裝置，其中視訊處理裝置在此系統運作中為非必要裝置。在此一提的是，本發明的特徵之一是可不用裝設視訊設備，透過語音與相關圖文數據與病患資料，也能於線上多方、即時、互動式交換圖文數據，能藉此進行多方會診。Connect to multiple consultation units 1, 2, 3, and 4 through the Internet 20. The consultation unit can be a medical team consisting of one or more medical personnel. The equipment includes at least a computer system with data processing capabilities, a voice processing device, and video processing. The device, wherein the video processing device is a non-essential device in the operation of the system. It is mentioned that one of the features of the present invention is that it can be used for multi-party, instant and interactive exchange of graphic data through voice and related graphic data and patient data without installing a video device. This is a multi-party consultation.
本系統提供即時輸入使用者之畫面影像及語音訊息的功能，如提供一圖文輸入功能，用以即時輸入使用者所書寫及繪製之圖文資料；提供影音視訊功能，負責播放其他使用者之即時畫面影像、即時語音訊息，以及即時更新之圖文資料。The system provides the function of instantly inputting the user's screen image and voice message, such as providing a graphic input function for instantly inputting graphic data written and drawn by the user; providing video and audio functions, and playing other users. Instant screen images, instant voice messages, and instantly updated graphic materials.
舉例來說，透過各端具備的電腦系統1c、2c、3c、4c與配置的語音處理裝置(如配備麥克風1a、2a、3a、4a)、視訊處理裝置(如攝影機1b、2b、3b、4b)以進行遠端會診。然而，因為會診各主機進行線上溝通所用的既有或更新後的圖文數據，皆可利用其他裝置及同步方法進行網路 傳遞更新參數方式呈現，故此些語音處理裝置和視訊處理裝置皆僅供人員作線上交談而非必要之選擇配備。For example, through the computer systems 1c, 2c, 3c, 4c provided at each end and the configured voice processing device (such as equipped with microphones 1a, 2a, 3a, 4a), video processing devices (such as cameras 1b, 2b, 3b, 4b) ) for a remote consultation. However, because of the existing or updated graphic data used by each host for online communication, other devices and synchronization methods can be used for the network. The delivery of the update parameters is presented, so that the voice processing device and the video processing device are only available for personnel to make online conversations instead of the necessary options.
此例，會診單位1具備有麥克風1a、攝影機1b與電腦系統1c，而電腦系統1c可為一具備上網能力的各式電腦裝置。然而，由於各端會診與傳遞的內容主要為醫療相關影像，此類影像通常具有更高的解析度與巨大的檔案容量，因此各主機除須具有高解析圖像、高容量檔案之處理能力外，傳遞資訊時亦須考量網路頻寬、負載、及資訊安全能力。In this example, the consultation unit 1 is provided with a microphone 1a, a camera 1b, and a computer system 1c, and the computer system 1c can be a computer device having various Internet access capabilities. However, since the content of consultation and delivery at each end is mainly medical-related images, such images usually have higher resolution and huge file capacity, so each host must have the processing capability of high-resolution images and high-capacity files. Network bandwidth, load, and information security capabilities must also be considered when delivering information.
為便日後擴充，一至多個會診單位可形成一個區域網路，如圖示，工作站201連結於會診單位1與會診單位2，作為兩者之伺服器，可以橋接於網路20上，與另一個群組，也就是工作站203與連結的會診單位3、會診單位4所組成的區域網路結合。工作站201、203的工作包括網路資料匯流、轉送、與其他群組連結、醫療資源暫存與存取等。In order to expand in the future, one or more consultation units may form a regional network. As shown in the figure, the workstation 201 is connected to the consultation unit 1 and the consultation unit 2, and as a server of the two, it can be bridged on the network 20, and the other A group, that is, the workstation 203 is combined with a network of the connected consultation unit 3 and the consultation unit 4. The work of the workstations 201 and 203 includes network data convergence, transfer, connection with other groups, medical resource temporary storage and access, and the like.
此醫療會診系統主要可透過醫療影像與相關圖文數據產生一個會診結果，在各會診單位之間所傳遞的資料大多為醫療影像相關的圖文數據，而一般不論靜態、動態的醫療影像都有較高的解析度也會佔用較大的儲存空間，因此難以在各主機端即時、快速的同步顯示。為解決此問題，本系統發展出一種資訊載入通知的功能，以應用於頻寬不足或需要於網際網路進行資料傳遞之狀況。方法是：於醫療檔案產生後系統自動將新檔案訊息通知各診療主機知悉，再由診療主機自行擇時下載。This medical consultation system can mainly produce a consultation result through medical images and related graphic data. Most of the information transmitted between the consultation units is medical image-related graphic data, and generally no static or dynamic medical images are available. A higher resolution also occupies a larger storage space, so it is difficult to synchronize display on each host side in an instant and fast manner. In order to solve this problem, the system has developed a function of information loading notification to apply to situations where the bandwidth is insufficient or data transmission is required on the Internet. The method is: after the medical file is generated, the system automatically notifies the medical treatment host of the new file information, and then the user selects the time to download.
舉例來說，各個會診單位可為同一醫院之醫療小組 與設備，或可為不同醫院的醫療小組與設備。For example, each consultation unit can be a medical team in the same hospital. With equipment, or medical teams and equipment that can be used in different hospitals.
經會診單位1、2會診後產生的檔案將暫存於圖中工作站201上，亦可根據設定，同步儲存於工作站203上，之後產生檔案待命中的訊息並通知會診單位，使得會診單位3、4可以自工作站203上下載相關檔案。據此，此會診系統可以同步或非同步的方式更新、呈現螢幕畫面。除上述利用「同步」或「非同步」載入資料的方式，本系統亦接受人為設定載入資料的時機，包括人為設定螢幕顯示內容的動作，此非同步載入資料的方式可由各會診單位之醫療人員、病患或特定人員利用診療主機產生一載入訊號來開始下載醫療相關圖文數據與病患資料，如利用一軟體或硬體實現的「載入」按鈕，操作此按鈕開始下載圖文數據。The files generated after the consultation of the consultation unit 1, 2 will be temporarily stored in the workstation 201 in the figure, or stored on the workstation 203 according to the settings, and then the message of the file standby will be generated and notified to the consultation unit, so that the consultation unit 3, 4 The relevant file can be downloaded from the workstation 203. Accordingly, the consultation system can update and present the screen in a synchronized or asynchronous manner. In addition to the above method of loading data by "synchronization" or "non-synchronization", the system also accepts the timing of manually loading data, including the action of manually setting the content of the screen display. The method of asynchronously loading data can be performed by each consultation unit. The medical staff, the patient or the specific person uses the diagnosis host to generate a loading signal to start downloading medical related graphic data and patient data, such as using a software or hardware "load" button, operating this button to start downloading Graphic data.
當於上述非同步檔案傳遞的狀態下，一方若欲讓另一方查看相同的圖文數據時，可操作上述按鈕使各方同步顯示相同的圖文數據，並非以傳統更新畫素的方式傳遞，而以傳遞變動參數的方式為之，可減少傳遞實際檔案所需的頻寬，可適用傳輸效能較低的環境中。圖文數據一旦被改變，因此產生上述變動參數，包括影像變動的位置、區間、尺寸、角度、方位等參數，和/或為變動的文字註記，因此可以最小化傳遞的資料，以節省頻寬、增加傳輸效能。In the state of the above-mentioned asynchronous file transfer, if one party wants the other party to view the same graphic data, the button can be operated to cause the parties to simultaneously display the same graphic data, which is not transmitted in the manner of the traditional update pixel. In order to transmit the variable parameters, the bandwidth required to deliver the actual file can be reduced, and it can be applied in an environment with low transmission efficiency. Once the graphic data is changed, the above-mentioned variation parameters are generated, including the position, interval, size, angle, orientation and other parameters of the image change, and/or the text annotation for the change, so that the transmitted data can be minimized to save bandwidth. Increase transmission efficiency.
第二實施例：Second embodiment:
圖3顯示為本發明醫療會診系統之醫院內部實施例架構圖，係由醫院網路30的角度描述此會診系統。由於醫院具備各式醫療造影設備，如超音波、核磁共振、正子斷層掃描、電腦斷層掃描、***攝影與X光攝影等器材，可擷取各類影像，此類影像可能被整合於醫療影像儲傳系統( PACS)中。PACS提供先進的醫療影像處理及儲存方式，可使傳統之醫學影像系統具有遠端查詢與檢閱報告的能力。此例之醫療會診系統即提供如上述PACS的醫療影像系統305，另有根據各端會診結果產生會診報告的會診報告系統307，各端資源則整合於會診整合系統309中。3 is a block diagram showing an internal embodiment of a hospital of the medical consultation system of the present invention, which is described by the hospital network 30. Because the hospital has a variety of medical imaging equipment, such as ultrasound, nuclear magnetic resonance, positron tomography, computed tomography, mammography and X-ray photography, you can capture a variety of images, which may be integrated into the medical image storage Transmission system In PACS). PACS provides advanced medical image processing and storage methods that enable traditional medical imaging systems to remotely query and review reports. The medical consultation system of this example provides the medical imaging system 305 as described above, and the consultation report system 307 which generates a consultation report based on the results of the consultations at each end, and the resources of each end are integrated in the consultation integration system 309.
根據實施例，會診整合系統309透過醫院網路30連結於會診單位301、302、303，它提供會診會議的邀請、建立與對使用者登入身分的驗證、各端資訊匯流與後端儲存備份等功能，而且此會診整合系統309自身具有相當的影像處理能力。傳遞於系統間的各式資訊應有特定共通的格式，故各會診整合系統具有判斷資料來源格式與內容，並加以轉換為共同格式的能力，此僅需配置相當的判斷與轉換程式。來往資料更可透過加密、驗證程序確認資料正確與資訊安全。例如，會診整合系統309至少包括有：According to the embodiment, the consultation integration system 309 is connected to the consultation unit 301, 302, 303 through the hospital network 30, which provides an invitation for the consultation meeting, establishment and verification of the user's login identity, information exchange at each end, and back-end storage backup, etc. The function, and the consultation integration system 309 itself has considerable image processing capabilities. The various types of information transmitted between the systems should have a specific common format. Therefore, each consultation integration system has the ability to judge the format and content of the data source and convert it into a common format. This only requires a considerable judgment and conversion program. The data can be confirmed by the encryption and verification procedures to ensure correct data and information security. For example, the consultation integration system 309 includes at least:
驗證模組310，它提供一種使用者管理功能，是一種使用者從各會診單位301、302、303登入系統的驗證方法，使用者登入身分通過驗證才可加入會診，才可進一步存取各種醫療資源。The verification module 310 provides a user management function, which is a verification method for the user to log in to the system from the consultation units 301, 302, and 303. The user login status can be verified before the consultation can be performed, and the medical treatment can be further accessed. Resources.
資訊安全模組320，它為可選擇而非必要的模組，透過各種資訊安全的手段維護整個醫療會診系統的檔案及網路安全，例如提供防火牆以防止外部不明來源入侵，並維護內部醫療資訊的安全。Information Security Module 320, which is an optional and not necessary module, maintains the file and network security of the entire medical consultation system through various information security methods, such as providing a firewall to prevent external sources from invading and maintaining internal medical information. Security.
文件管理模組330，由於系統主要傳遞與分享的為醫療影像與相關圖文資料，因此需要有效的文件管理機制，透過有效地文件歸檔與資料庫管理，才能使會診會議順利進行。特別的是，醫療影像通常為高容量的檔案，而且由各 種醫療儀器產生的檔案格式也不盡相同，不易分享，因此，文件管理模組330可根據檔案格式進行辨識與轉換、適當調整，使各終端可輕易存取，並且統一格式以便儲存及供日後瀏覽。The document management module 330, because the system mainly transmits and shares the medical images and related graphic materials, requires an effective file management mechanism, and the effective consultation of the documents and the management of the database enables the consultation meeting to proceed smoothly. In particular, medical images are usually high-volume files, and each The file format generated by the medical device is also different and difficult to share. Therefore, the file management module 330 can identify and convert according to the file format, and appropriately adjust, so that the terminals can be easily accessed, and the format is unified for storage and for future use. Browse.
資料庫模組340可為由各會診單位取得醫療相關圖文數據的共同資料庫，可以是各種儲存媒體(磁碟、磁碟櫃、光碟、磁帶等)或儲存手段(網路、分散式或集中式)提供一個安全的儲存空間，以儲存各端會診單位的診斷報告。The database module 340 can be a common database for obtaining medical related graphic data from each consultation unit, and can be various storage media (disk, disk cabinet, CD, tape, etc.) or storage means (network, decentralized or Centralized) Provides a secure storage space for storing diagnostic reports from each end of the consultation unit.
除了於會診時各端顯示器可同步擷取相同的檔案外，特別的是，在此醫療會診系統架構中，更提供一種資訊載入通知的功能，由於醫療影像解析度甚高且檔案容量也大，故經由網際網路傳遞十分耗時，當接收端收到時還需費時解譯、處理，故難以即時呈現於遠端螢幕上，故本發明所揭露的醫療會診系統並非需要各會診單位或病患端的設備能配合達到「螢幕同步」，而是在檔案預備好之後，醫療會診系統利用一種資訊載入手段，可以預載資料於特定位置(儲存媒體)，之後透過檔案待命通知的功能，使各端於檔案備妥後才可執行存取。In addition to the same files on each side of the display during the consultation, in particular, in the medical consultation system architecture, a function of information loading notification is provided, because the medical image resolution is high and the file capacity is large. Therefore, the transmission through the Internet is very time consuming. When the receiving end receives the time, it needs time-consuming interpretation and processing, so it is difficult to present it on the remote screen immediately. Therefore, the medical consultation system disclosed in the present invention does not need each consultation unit or The device on the patient's side can match the "screen synchronization". After the file is prepared, the medical consultation system uses a kind of information loading method, which can preload the data in a specific location (storage media), and then through the file standby notification function. The access can be performed only after the files are ready.
如此，本系統便可處理包含動態影像等較高解析度及較高容量的影像檔案，而無須降低解析度使影像失真，則診斷作業當可更加確實。In this way, the system can process image files with higher resolution and higher capacity including dynamic images without any need to reduce the resolution to make the image distorted, and the diagnostic work can be more reliable.
各會診單位之醫療人員或病患不僅限於圖示之利用傳統電腦系統的視訊方式進行連線溝通，亦可透過智慧手機、可攜式電腦等高傳輸能力的通訊裝置連線。The medical staff or patients in each consultation unit are not limited to the video communication using the traditional computer system, but can also be connected through high-capacity communication devices such as smart phones and portable computers.
此外，各會診單位的電腦系統可以裝置多個螢幕同時 瀏覽多個畫面，亦可以設定以同步顯示或非同步顯示。In addition, the computer system of each consultation unit can be equipped with multiple screens simultaneously Browse multiple screens, or set them to display in sync or asynchronous.
值得一提的是：各會診單位診療主機所欲取得的圖文數據可為儲存於各醫療院的共用資料庫，可依需求載入各端主機內，亦可為儲存於各主機的私有圖文數據，依照需要傳送到其他主機。在此強調的是：相關圖文數據是取自共同資料庫，並非如傳統使用網路視訊傳遞檔案的方式。It is worth mentioning that the graphic data to be obtained by the consultation unit of each consultation unit can be stored in the shared database of each hospital, and can be loaded into each host according to requirements, or can be stored in each host's private map. The text data is transferred to other hosts as needed. The emphasis here is that the relevant graphic data is taken from a common database, not as a traditional way of using network video to transfer files.
本實施例可擴充為群組架構，數個會診單位可形成一個群組，由一個會診整合系統(如圖3的309、圖4的409)進行資源整合與訊息轉送，這個會診整合系統可由一個伺服器或工作站實現，以形成一個區域網路。各個區域網路負責一至多個會診單位的聯繫與訊息處理，多個區域網路又可結合形成另一個大型的系統，形成一個醫療資源共享的環境。甚至可以跨接不同醫療單位、院所等。This embodiment can be expanded into a group structure. Several consultation units can form a group, and a consultation integration system (such as 309 in FIG. 3 and 409 in FIG. 4) performs resource integration and message transfer. The consultation integration system can be a The server or workstation is implemented to form a regional network. Each regional network is responsible for the contact and message processing of one or more consultation units, and multiple regional networks can be combined to form another large system to form a medical resource sharing environment. You can even bridge different medical units, institutions, etc.
第三實施例：Third embodiment:
如圖4，它為本發明醫療會診系統擴展至網際網路的實施例示意圖。FIG. 4 is a schematic diagram of an embodiment of the medical consultation system of the present invention extended to the Internet.
此例，病患可加入多端會診單位執行的會診程序中，也就是病患可透過如圖顯示的病患端設備46連上網際網路44，經過設定，由網際網路44進入醫療會診系統中。In this case, the patient can join the consultation procedure performed by the multi-disciplinary consultation unit, that is, the patient can connect to the Internet via the patient terminal device 46 as shown in the figure, and after setting, enter the medical consultation system by the Internet 44. in.
如圖，病患端設備46經網際網路44，再經由一路由器42連線到醫院網路40上。由醫院網路40形成的區域網路包括各端會診單位401、402、403，並透過醫院網路連結有醫療影像系統405、會診報告系統407與會診整合系統409。As shown, the patient device 46 is connected to the hospital network 40 via the Internet 44 via a router 42. The regional network formed by the hospital network 40 includes the end consultation units 401, 402, and 403, and the medical imaging system 405, the consultation report system 407, and the consultation integration system 409 are connected through the hospital network.
會診整合系統409可整合各端相互傳遞的資訊，並能儲存與管理各端產生的診斷報告。而病患可透過本系統與各 端醫療人員進行多人會診，各會診單位401、402、403亦可透過視訊方式與病患交談，並能同時存取醫療影像系統405所提供的病患影像，再由會診報告系統407產生診斷報告。The consultation integration system 409 can integrate the information transmitted by each end and can store and manage the diagnostic reports generated by each end. Patients can use this system and each The medical staff conducts multi-person consultations. Each of the consultation units 401, 402, and 403 can also communicate with the patient through video, and can simultaneously access the patient image provided by the medical imaging system 405, and then the diagnosis is generated by the consultation report system 407. report.
同樣，會診單位401、402、403可以決定將會診資料傳給病患端設備46，且線上分享診斷結果，最後可由一位主要醫療人員，如主治醫師，做出診斷結果。其間，會診整合系統409可擷取與儲存各端互傳的資訊及提供備份，各端則同步或非同步顯示各種診斷資訊。Similarly, the consultation units 401, 402, and 403 may decide to transmit the medical information to the patient device 46, and share the diagnosis results online, and finally a primary medical staff member, such as an attending physician, may make a diagnosis result. In the meantime, the consultation integration system 409 can retrieve and exchange information with each end of the storage end, and each end displays various diagnostic information synchronously or asynchronously.
此醫療會診系統連結各醫療資源便可提供資源服務的作法，病患便可獲得多種醫療諮詢結果與更完整的診斷，亦可針對特定科別選取、連結特定會診單位，會診人員也可獲得該病患更完整的診斷資料與歷史資料，因而提供更準確有用的診斷報告。從教學面觀之，由於醫療會診系統整合多方資源，因此可提供更充裕的樣本與資訊，以針對特定用途整合出完整的資訊供教學使用。This medical consultation system can provide resource services by connecting various medical resources. Patients can obtain a variety of medical consultation results and a more complete diagnosis. They can also select and link specific consultation units for specific departments. Patients have more complete diagnostic and historical data, thus providing more accurate and useful diagnostic reports. From the perspective of teaching, because the medical consultation system integrates multiple resources, it can provide more abundant samples and information to integrate complete information for teaching purposes.
會診會議之建立包括兩個層面，第一是登入醫療會診系統的程序，如圖5所示；第二是，進入系統之後，各會診單位對病患、檢查資料及相關資訊進行會診討論形成診斷書的程序，如圖6所示。The establishment of the consultation meeting consists of two levels. The first is the procedure for logging in to the medical consultation system, as shown in Figure 5. The second is that after entering the system, the consultation units discuss the patient, the examination data and related information to form a diagnosis. The book's program is shown in Figure 6.
圖5所示為描述本發明中進入醫療會診系統的程序。Figure 5 is a diagram showing the procedure for entering the medical consultation system of the present invention.
步驟一開始，如步驟S501，可由一方(如主治醫師、病患、或相關人員)先行進入醫療會診系統，並啟動一會診程序，可由一或多個診療主機一起加入會診程序，在此以兩個主機為例，其中主診療主機為產生主診療訊息，其他為會同診療主機，產生會同診療訊息。系統並可引入一 病患端設備。這些診療主機可依據一設定會診時間加入會診會議。At the beginning of the step, in step S501, one party (such as an attending physician, a patient, or a related person) can enter the medical consultation system first, and initiate a consultation procedure, and one or more medical treatment hosts can join the consultation procedure together, where two For example, in the main host, the main diagnosis and treatment host is to generate the main diagnosis and treatment information, and the other is to cooperate with the treatment host to generate the consultation information. System and can introduce one Patient equipment. These clinics can join the consultation meeting according to a set consultation time.
此例，如步驟S503，此一人、一個醫療小組或會診發起人，透過主診療主機進入本系統。In this case, in step S503, the person, a medical team, or the sponsor of the consultation enters the system through the main treatment host.
如步驟S505設定會診時間，系統會將會診訊息自動通知指定醫師(步驟S507)，此醫師可使用會同診療主機回應此邀請，如同意會診，屆時便可加入會議(步驟S509)。隨後，經驗證(包括主機驗證與人員驗證)後便可連線進入醫療會診系統(步驟S511)。If the consultation time is set in step S505, the system will automatically notify the designated doctor of the consultation message (step S507), and the physician can respond to the invitation using the conference clinic host, and if the consultation is agreed, the conference can be joined (step S509). Subsequently, after verification (including host verification and personnel verification), the medical consultation system can be connected to the medical consultation system (step S511).
會診開始時，如步驟S513，主診療主機可根據相關病患、病歷等資訊由醫療影像系統載入相對的影像與病患資料。根據實施例，經資源整合後，可由PACS取得影像資源，再由特定資料庫擷取病患病歷。如步驟S515，會同診療主機此時亦接收到載入訊息，通知載入相同的資料。At the beginning of the consultation, in step S513, the main treatment host can load the relative image and patient data from the medical imaging system according to the relevant patient, medical record and the like. According to an embodiment, after resource integration, the image resource can be obtained by the PACS, and the patient medical record is retrieved from the specific database. In step S515, the same treatment host receives a load message at the same time, notifying that the same data is loaded.
步驟S517，會同診療主機同步載入相同的影像及病患資料，以便後續根據相同的資訊做出診斷。如步驟S519，開始會診。In step S517, the same image and patient data are synchronously loaded with the diagnosis host to make a diagnosis based on the same information. In step S519, the consultation is started.
圖6所示為線上會診實施例之方法流程，透過這個流程可進行討論、溝通、意見交換，此實施例描述由各個診療主機產生不同的診療訊息，再由一主診療主機(或可為會議發起者)整合主診療訊息與各端會同診療訊息形成一個會診報告。Figure 6 shows the method flow of the online consultation example. Through this process, discussion, communication, and exchange of opinions can be performed. This embodiment describes that different medical treatment messages are generated by each medical treatment host, and then a primary medical treatment host (or can be a conference). The initiator) integrates the main diagnosis and treatment information with each end of the diagnosis and treatment information to form a consultation report.
當醫療儀器或相關造影設備產生影像檔案後，通常可透過醫療影像儲傳系統(PACS)儲存，經調校與轉換為可交換的資料進行討論、溝通、意見交換傳遞至特定伺服器或是工作站，會診單位即以此為檔案擷取的來源，醫師可 以根據病患資訊例如：檢查單號或病歷號碼，透過電腦系統擷取對應的醫療影像(包括其他輔助圖文數據)(步驟S601)。此例，主診療主機可由病患的主治醫師操作。When a medical device or related imaging device produces an image file, it can usually be stored through a PACS, and can be exchanged and exchanged into exchangeable data for discussion, communication, and exchange of opinions to a specific server or workstation. The consultation unit uses this as the source of the file, and the physician can The corresponding medical image (including other auxiliary graphic data) is retrieved through the computer system according to the patient information, for example, the check number or the medical record number (step S601). In this case, the primary treatment host can be operated by the patient's attending physician.
然後，主診療主機將接收這些醫療檔案，並顯示於螢幕上。主診療主機的使用者(如主治醫師或相關醫療人員)將對此醫療數據進行診斷，並建立診斷內容(步驟S603)。會診進行中，各端可以對圖文數據添加標記、修改與調整，其中包括可在原來載入的醫療影像上建立影像、語音或/及標記(特別是因為加入標記、修改與調整產生的另一醫療影像)，產生另一個資料物件，或是形成一個診斷報告。這些形成另一物件的動作可透過上述會診報告系統執行。The primary care host will then receive these medical files and display them on the screen. The user of the main treatment host (such as the attending physician or related medical personnel) will diagnose the medical data and establish the diagnosis content (step S603). During the consultation, each end can add marks, modifications and adjustments to the graphic data, including the ability to create images, voices or/and markers on the original loaded medical images (especially because of the addition of markers, modifications and adjustments). A medical image), generating another data item or forming a diagnostic report. These actions of forming another object can be performed by the above-mentioned consultation report system.
當主治醫師透過主診療主機完成主診療訊息，包含在靜態與動態影像上加標記與診斷資訊，並可加以修改與調整，這些主診療訊息將被傳遞至醫療影像儲傳系統，再儲存為另一個醫療文件(步驟S605)。若為即時會診狀態，可以透過一個工作站暫存檔案，再儲存至醫療影像儲傳系統，以避免資訊來往繁複。When the attending physician completes the main medical treatment message through the main diagnosis and treatment host, including the marking and diagnosis information on the static and dynamic images, and can be modified and adjusted, these main medical treatment messages will be transmitted to the medical image storage and transmission system, and then stored as another A medical file (step S605). If it is an instant consultation, you can temporarily save the file through a workstation and store it in the medical image storage system to avoid complicated information.
然後，將相關診療資訊彙成一個通知會同診療主機的訊息(步驟S607)，因此，會同診療主機將可由醫療影像儲傳系統取得上述由主診療主機產生的診斷內容(主診療訊息，包括語音、靜態、動態影像與標記)，惟該下載動作可以兩種方式進行：同步下載或非同步下載，前者能即時獲得由主診療主機取得主診療訊息；後者則是先將診療訊息暫存於特定工作站，再以非同步的方式下載檔案(步驟S609)。值得一提的是，一般醫療影像檔案容量較大，非同步傳 遞常常是在頻寬不足的網路環境中的選擇。Then, the relevant medical information is merged into a message for notifying the medical host (step S607). Therefore, the medical host can obtain the above-mentioned diagnosis content (main medical information, including voice, by the medical imaging storage system). Static, dynamic image and mark), but the download action can be performed in two ways: synchronous download or asynchronous download. The former can immediately obtain the main diagnosis and treatment message from the main diagnosis host; the latter is to temporarily store the diagnosis message on the specific workstation. And downloading the file in an asynchronous manner (step S609). It is worth mentioning that the general medical image file has a large capacity and is not synchronized. Handing is often a choice in a network environment where bandwidth is insufficient.
後續步驟S611，由會同診療主機之使用者(其他醫師、助理醫師或相關醫療人員)產生會同診療訊息，同樣可於影像或圖文中建立新的語音、影像、標記，以產生一個資料物件。所產生之資料物件可儲存於各端可共用的共用資料庫，或依需求相互傳遞。In the subsequent step S611, the user of the medical treatment host (other doctors, assistant physicians, or related medical personnel) generates a medical consultation message, and a new voice, image, and mark can be created in the image or the graphic to generate a data object. The generated data objects can be stored in a shared database that can be shared by each end, or can be transferred to each other as needed.
根據實施例，如步驟S613，傳遞會同診療訊息至醫療影像儲傳系統，或可暫存於特定位置，以供其他診療所需。上述由主要診療主機發出的主診療訊息、與會同診療主機發出的會同診療訊息，或其他步驟延續形成的診療訊息，可結合產生一個診斷報告。According to the embodiment, in step S613, the medical treatment message is transmitted to the medical image storage system, or may be temporarily stored in a specific location for other medical treatments. The above-mentioned main diagnosis and treatment message issued by the main diagnosis and treatment host, the concomitant treatment information sent by the co-operative host, or the medical treatment information formed by other steps may be combined to generate a diagnosis report.
此時，產生會同診療訊息時亦產生通知主診療主機的訊息(步驟S615)，主診療主機再載入上述主診療訊息與會同診療訊息(步驟S617)，再由主診療主機的使用者，如主治醫師，產生診斷報告(步驟S619)。最後，傳遞診斷報告至醫療會診系統中(步驟S621)。At this time, a message informing the main medical host is also generated when the medical treatment message is generated (step S615), and the main medical treatment host reloads the main medical treatment information and the medical consultation information (step S617), and then the user of the main medical treatment host, such as The attending physician generates a diagnosis report (step S619). Finally, the diagnostic report is delivered to the medical consultation system (step S621).
此會診程序可讓病患加入會診，或事後再將診斷報告傳遞給病患。This consultation procedure allows the patient to join the consultation or pass the diagnosis report to the patient afterwards.
根據上述實施例，會同診療主機可同步或非同步取得由主診療主機產生的診療訊息，兩種更新模式可根據實際需要決定，其中同步的動作舉例如下：當主診療主機的之螢幕畫面有更新時，其他多個診療主機(包括第二診療主機)的螢幕會即時、自動更新為與主診療主機同樣的畫面；反之亦然，當其中之一診療主機螢幕畫面更新時，系統可同步更新其他診療主機顯示畫面。According to the above embodiment, the diagnosis and treatment host can obtain the diagnosis and treatment information generated by the main diagnosis and treatment host synchronously or asynchronously, and the two update modes can be determined according to actual needs, wherein the synchronization action is as follows: when the screen of the main diagnosis and treatment host is updated At the same time, the screens of other medical treatment hosts (including the second diagnosis and treatment host) will be automatically and automatically updated to the same screen as the main treatment host; vice versa, when one of the treatment host screens is updated, the system can update the other simultaneously. The treatment host displays a screen.
非同步的動作舉例如下，可參閱圖7描述的流程：開始時，當任一特定診療主機在己方產生任何診療訊息時(步驟S701)，如畫面加上註記，其他診療主機的畫面在同一時點是既不會有註記也不會有任何變動的。An example of the asynchronous action is as follows. Referring to the flow described in FIG. 7 , when any specific medical host generates any medical treatment information on its own (step S701), if the screen is marked, the other medical host screens are at the same time. There is neither a note nor a change.
當此特定診療主機完成註記等訊息後，且願意讓其他診療主機看到此訊息時，可以人為指示傳送訊息(步驟S703)，如按下按鈕表示註記完成與可分享畫面，其他多個診療主機才能經本發明的醫療會診系統獲得該特定診療主機有新的註記的提示。When the specific diagnosis host completes the annotation and the like, and is willing to let other medical treatment hosts see the message, the message can be manually transmitted (step S703), and if the button is pressed, the annotation completion and shareable screen are displayed, and the other plurality of medical treatment hosts are In order to obtain a new note of the particular medical host through the medical consultation system of the present invention.
此時，其他診療主機接收此訊息通知(步驟S705)，並指示由系統接收更新的診療訊息(步驟S707)，才能操作(如按下按鈕)更新己方螢幕畫面，而看到該特定診療主機所註記的圖文數據。At this time, the other medical host receives the message notification (step S705), and instructs the system to receive the updated medical treatment message (step S707), in order to operate (such as pressing a button) to update the own screen, and see the specific medical host. Annotated graphic data.
在另一實施例中，為提高系統的流暢運作，可提供使用者免除按鈕而可自動更新的參數設定畫面。In another embodiment, in order to improve the smooth operation of the system, a parameter setting screen that can be automatically updated by the user without a button can be provided.
上述流程引入資訊載入手段，特別是應用在容量大的醫療影像中，如上述由主要診療主機產生的資料物件。同樣，其他診療主機亦可產生自己的資料物件，這些資料物件可先暫存於特定儲存媒體中，再產生檔案待命通知，透過此檔案待命通知請另一個診療主機載入此資料物件。The above process introduces information loading means, especially in medical images with large capacity, such as the above-mentioned data objects generated by the main medical treatment host. Similarly, other medical treatment hosts can also generate their own data objects, which can be temporarily stored in a specific storage medium, and then generate a file standby notification. Through this file standby notification, another medical host can load the data object.
綜上所述，本發明所提出的醫療會診系統是一種具有線上、多方、即時、互動式擷取、傳輸、顯示能力的會診系統，透過揭露的系統所提供的方法，可以應用本系統的靜態、動態醫療影像，特徵是影像通常具有較高的解析度，檔案容量也較一般數位影像更大，因此，本方法所規劃建置的工作站與模組的效能較高，也更為複雜。系統提供 的環境亦須實現多端會診的目的，包括醫院內各科醫師透過一會診整合系統針對特定病患病情進行會診；各醫師可透過個人工作站編輯、加註記於病患影像上；醫師完成診斷書後，再由個人工作站連線報告系統，以儲存、產生報告；甚至引入第三方(如病患)透過網際網路加入會診。In summary, the medical consultation system proposed by the present invention is a consultation system with online, multi-party, instant, interactive capture, transmission, and display capabilities. The static method of the system can be applied through the method provided by the disclosed system. Dynamic medical imaging is characterized in that the image usually has a higher resolution and the file capacity is larger than that of a general digital image. Therefore, the workstations and modules planned to be built by the method have higher performance and are more complicated. System provided The environment must also be used for multi-disciplinary consultations, including the consultation of various physicians in the hospital through a consultation integration system for specific patient conditions; each physician can edit and add to the patient's image through a personal workstation; after the physician completes the diagnosis The personal workstations then connect to the reporting system to store and generate reports; even third parties (such as patients) are invited to join the consultation via the Internet.
惟以上所述僅為本發明之較佳可行之實施例，非因此即侷限本發明之專利範圍，故舉凡運用本發明說明書及圖示內容所為之等效結構變化，均同理包含於本發明之範圍內，合予陳明。However, the above description is only a preferred embodiment of the present invention, and thus the scope of the present invention is not limited thereto, and equivalent structural changes made by using the present specification and the illustrated contents are equally included in the present invention. Within the scope of the agreement, Chen Ming.
10‧‧‧網路10‧‧‧Network
12、13‧‧‧語音裝置12, 13‧‧‧ voice device
14、15‧‧‧視訊設備14, 15‧‧‧ video equipment
16、17‧‧‧電腦系統16, 17‧‧‧ computer system
101‧‧‧醫療人員101‧‧‧ medical personnel
103‧‧‧病患103‧‧‧ Patients
20‧‧‧網路20‧‧‧Network
1、2、3、4‧‧‧會診單位1, 2, 3, 4‧‧‧ consultation units
1a、2a、3a、4a‧‧‧麥克風1a, 2a, 3a, 4a‧‧‧ microphone
1b、2b、3b、4b‧‧‧攝影機1b, 2b, 3b, 4b‧‧‧ camera
1c、2c、3c、4c‧‧‧電腦系統1c, 2c, 3c, 4c‧‧‧ computer systems
201、203‧‧‧工作站201, 203‧‧‧ workstation
30‧‧‧醫院網路30‧‧‧ Hospital Network
301、302、303‧‧‧會診單位301, 302, 303‧‧ ‧ consultation units
305‧‧‧醫療影像系統305‧‧‧ Medical Imaging System
307‧‧‧會診報告系統307‧‧‧ consultation report system
309‧‧‧會診整合系統309‧‧‧Consultation integration system
310‧‧‧驗證模組310‧‧‧ verification module
320‧‧‧資訊安全模組320‧‧‧Information Security Module
330‧‧‧文件管理模組330‧‧‧File Management Module
340‧‧‧資料庫模組340‧‧‧Database Module
40‧‧‧醫院網路40‧‧‧ Hospital Network
401、402、403‧‧‧會診單位401, 402, 403‧‧ ‧ consultation units
405‧‧‧醫療影像系統405‧‧ Medical Imaging System
407‧‧‧會診報告系統407‧‧‧ consultation report system
409‧‧‧會診整合系統409‧‧‧Consultation integration system
42‧‧‧路由器42‧‧‧ router
44‧‧‧網際網路44‧‧‧Internet
46‧‧‧病患端設備46‧‧‧patient equipment
步驟S501~S519‧‧‧進入醫療會診系統的流程Step S501~S519‧‧‧ Process of entering the medical consultation system
步驟S601~S621‧‧‧線上會診流程Step S601~S621‧‧‧ Online consultation process
步驟S701~S707‧‧‧非同步載入訊息流程Step S701~S707‧‧‧Synchronous loading message flow
圖1所示為習知技術中應用數位視頻會診的示意圖；圖2所示為本發明醫療會診系統實施例之架構示意圖；圖3所示為本發明醫療會診系統之醫院內部實施例架構圖；圖4所示為本發明醫療會診系統之實施例示意圖；圖5所示為描述本發明中進入醫療會診系統的程序；圖6所示為線上會診實施例之方法流程；圖7所示為本發明非同步載入訊息之流程。1 is a schematic diagram showing the application of a digital video consultation in the prior art; FIG. 2 is a schematic structural view of an embodiment of the medical consultation system of the present invention; and FIG. 3 is a structural diagram of an internal embodiment of the medical consultation system of the present invention; 4 is a schematic view showing an embodiment of a medical consultation system of the present invention; FIG. 5 is a flowchart for describing the entry into the medical consultation system of the present invention; FIG. 6 is a flow chart showing the method of the online consultation embodiment; Invent the process of asynchronously loading messages.
401、402、403‧‧‧會診單位401, 402, 403‧‧ ‧ consultation units
405‧‧‧醫療影像系統405‧‧ Medical Imaging System
407‧‧‧會診報告系統407‧‧‧ consultation report system
409‧‧‧會診整合系統409‧‧‧Consultation integration system
42‧‧‧路由器42‧‧‧ router
44‧‧‧網際網路44‧‧‧Internet
46‧‧‧病患端設備46‧‧‧patient equipment
40‧‧‧醫院網路40‧‧‧ Hospital Network
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| Publication number | Priority date | Publication date | Assignee | Title |
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| TWI676147B (en) * | 2018-07-27 | 2019-11-01 | 健康力股份有限公司 | Intelligent healthcare system |
Families Citing this family (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TW201513673A (en) | 2013-09-30 | 2015-04-01 | Ibm | Method and computer program product of automatic participating in a peer-to-peer communication session |
| EP3797680B1 (en) * | 2014-01-10 | 2024-05-15 | Ascensia Diabetes Care Holdings AG | End user medical devices and methods for end user medical devices |
| WO2015157582A1 (en) | 2014-04-11 | 2015-10-15 | Bayer Healthcare Llc | Wireless transmitter adapters for battery-operated biosensor meters and methods of providing same |
| AU2015200410A1 (en) * | 2015-01-28 | 2016-08-11 | Context Systems Llp | Online collaboration systems and methods |
| CA2983551A1 (en) | 2015-04-29 | 2016-11-03 | Ascensia Diabetes Care Holdings Ag | Location-based wireless diabetes management systems, methods and apparatus |
| CN107978346A (en) * | 2016-10-19 | 2018-05-01 | 心医国际数字医疗***(大连)有限公司 | Tele-consultation System and method |
| CN108877897B (en) * | 2018-05-28 | 2022-12-13 | 牙博士医疗控股集团有限公司 | Dental diagnosis and treatment scheme generation method and device and diagnosis and treatment system |
| TWI772605B (en) * | 2019-01-24 | 2022-08-01 | 林麗雪 | Medical consulting system |
| TWI824573B (en) * | 2022-06-20 | 2023-12-01 | 奇美醫療財團法人奇美醫院 | Cross-team conference system |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TW200844849A (en) * | 2007-05-15 | 2008-11-16 | Chien-Cheng Lee | A collaborative telemedicine system |
| US20080319784A1 (en) * | 2007-06-25 | 2008-12-25 | Haniel Cordero | Online health consultation |
| TWM401806U (en) * | 2010-11-10 | 2011-04-11 | Rui Ce International Co Ltd | Touch-screen type electronic device with medical information providing function |
| US20110092825A1 (en) * | 1998-05-26 | 2011-04-21 | Ineedmd.Com, Inc. | Method for remote medical consultation and care |
| US20110191117A1 (en) * | 2008-08-15 | 2011-08-04 | Mohammed Hashim-Waris | Systems and methods for delivering medical consultation at pharmacies |
-
2011
- 2011-11-18 TW TW100142270A patent/TWI457851B/en active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20110092825A1 (en) * | 1998-05-26 | 2011-04-21 | Ineedmd.Com, Inc. | Method for remote medical consultation and care |
| TW200844849A (en) * | 2007-05-15 | 2008-11-16 | Chien-Cheng Lee | A collaborative telemedicine system |
| US20080319784A1 (en) * | 2007-06-25 | 2008-12-25 | Haniel Cordero | Online health consultation |
| US20110191117A1 (en) * | 2008-08-15 | 2011-08-04 | Mohammed Hashim-Waris | Systems and methods for delivering medical consultation at pharmacies |
| TWM401806U (en) * | 2010-11-10 | 2011-04-11 | Rui Ce International Co Ltd | Touch-screen type electronic device with medical information providing function |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI676147B (en) * | 2018-07-27 | 2019-11-01 | 健康力股份有限公司 | Intelligent healthcare system |
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|---|---|
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